Individual
KERRY MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 CIRCLE AVE, LYNN, MA 01905-3050
(781) 346-9941
Mailing address
43 BLOOMFIELD ST APT 1, LYNN, MA 01902-2332
(781) 499-3704
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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